The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Dzhantukhanova S.V.

Vishnevsky National Medical Research Center for Surgery

Starkov Yu.G.

Vishnevsky National Medical Research Center for Surgery

Zamolodchikov R.D.

Vishnevsky National Medical Research Center for Surgery

Zvereva A.A.

Vishnevsky National Medical Research Center for Surgery

Kontorshchikov P.K.

Vishnevsky National Medical Research Center of Surgery

The techniques of hybrid laparo-endoscopic resections for non-epithelial gastric tumors

Authors:

Dzhantukhanova S.V., Starkov Yu.G., Zamolodchikov R.D., Zvereva A.A., Kontorshchikov P.K.

More about the authors

Journal: Endoscopic Surgery. 2021;27(4): 47‑60

Read: 2525 times


To cite this article:

Dzhantukhanova SV, Starkov YuG, Zamolodchikov RD, Zvereva AA, Kontorshchikov PK. The techniques of hybrid laparo-endoscopic resections for non-epithelial gastric tumors. Endoscopic Surgery. 2021;27(4):47‑60. (In Russ.)
https://doi.org/10.17116/endoskop20212704147

Recommended articles:
A case of early mani­festation of pseudotumor of the sigmoid colon. Russian Journal of Evidence-Based Gastroenterology. 2025;(4):112-117

References:

  1. Ntoukaris D, Mavrogenis G. Cooperative laparoscopic endoscopic and hybrid laparoscopic surgery for upper gastrointestinal tumors: Current status. World J Gastroenterol. 2015;21(43):12482-12497. https://doi.org/10.3748/wjg.v21.i43.12482
  2. Wu R, Zhen-Ling JI. Laparoscopic-Endoscopic Cooperative Surgery for Gastric Gastrointestinal Stromal Tumors. Clin Surg. 2016;1:1234. https://doi.org/10.1007/s10346-018-1046-5
  3. Waseda Y, Doyama H, Inaki N, Nakanishi H, Yoshida N, Tsuji S, Takemura K, Yamada S, Okada T. Does laparoscopic and endoscopic cooperative surgery for gastric submucosal tumors preserve risudual gastric motility? Results of a retrospective single-center study. Plos One. 2014;9(6):e101337. https://doi.org/10.1371/journal.pone.0101337
  4. Hamura R, Koyama T, Kawamura M, Kawamura T, Nakamura M, Yanaga K. Gastric calcifying fibrous tumor suspected to be complicated with immunoglobulin G4-related disease treated by laparoscopy and endoscopy cooperative surgery: a case report. Surg Case Rep. 2019;5(1):150.  https://doi.org/10.1186/s40792-019-0714-6
  5. Hajer J, Havlůj L, Whitley A, Gürlich R. Non-exposure endoscopic-laparoscopic cooperative surgery for stomach tumors: first experience from Czech Republic. Clin Endosc. 2018;51(2):167-173.  https://doi.org/10.5946/ce.2017.076
  6. Hiki N, Nunobe S. Laparoscopic endoscopic cooperative surgery (LECS) for the gastrointestinal tract: updated indications. Ann Gastroenterol Surg. 2019;3(3):239-246.  https://doi.org/10.1002/ags3.12238
  7. Aisu Y, Yasukawa D, Kimura Y, Hori T. Laparoscopic and endoscopic cooperative surgery for gastric tumors: Perspective for actual practice and oncological benefits. World J Gastrointest Oncol. 2018;10(11):381-397.  https://doi.org/10.4251/wjgo.v10.i11.381
  8. Wang H, Cao L, Zheng K, Zhao Y. Laparoscopic endoscopic cooperative surgery for gastrointestinal stromal tumors. Surg Laparosc Endosc Percutan Tech. 2018;28(6):354-358. Review. https://doi.org/10.1097/sle.0000000000000591
  9. Goh B, Chow P, Yap WM. Which is the optimal risk stratification system for surgically treated localized primary GIST? Comparison of three contemporary prognostic criteria in 171 tumors and a proposal for a modified Armed Forces Institute of Pathology risk criteria. Ann Surg Oncol. 2008;15(8):2153-2163. https://doi.org/10.1245/s10434-008-9969-z
  10. Joensuu H, Eriksson M, Hall KS. Risk factors for gastrointestinal stromal tumor recurrence in patients treated with adjuvant imatinib. Cancer. 2014;120(15):2325-2333. https://doi.org/10.1002/cncr.28669
  11. ESMO/European Sarcoma Network Working Group. Gastrointestinal stromal tumors: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2012;23(Suppl 7):vii49-vii55. https://doi.org/10.1093/annonc/mds252
  12. Demetri GD, Benjamin R, Blanke CD, Choi H, Corless C, DeMatteo RP, Eisenberg BL, Fletcher CD, Maki RG, Rubin BP, Van den Abbeele AD, von Mehren M; NCCN GIST Task Force. NCCN Task Force report: optimal management of patients with gastrointestinal stromal tumor (GIST) — expansion and update of NCCN clinical practice guidelines. J Natl Compr Canc Netw. 2004;2(Suppl 1):1-26; quiz 27-30. 
  13. Paral J, Slaninka I, Kalabova H, Hadzi-Nikolov D. Gastrointestinal stromal tumors: review on morphology, molecular pathology, diagnostics, prognosis and treatment options. Acta Gastro-Enterologica Belgica. 2010;73(3):349359.
  14. Jeong IH, Kim JH, Lee SR. Minimally invasive treatment of gastric gastrointestinal stromal Tumors: Laparoscopic and Endoscopic Approach. Surg Laparoscopy Endoscopy Percutan Techn. 2012;22(3):244-250.  https://doi.org/10.1097/sle.0b013e31825078f2
  15. Shim JH, Lee HH, Yoo HM, Jeon HM, Park CH, Kim JG, Song KY. Intragastric approach for submucosal tumors located near the Z-line: a hybrid laparoscopic and endoscopic technique. J Surg Oncol. 2011;104:312-315.  https://doi.org/10.1002/jso.21934
  16. Kim HH. Endoscopic treatment for gastrointestinal stromal tumor: Advantages and hurdles. World J Gastrointest Endosc. 2015;7(3):192-205.  https://doi.org/10.4253/wjge.v7.i3.192
  17. Abe N, Takeuchi H, Ooki A, Nagao G, Masaki T, Mori T, Sugiyama M. Recent developments in gastric endoscopic submucosal dissection: towards the era of endoscopic resection of layers deeper than the submucosa. Dig Endosc. 2013;25(Suppl 1):64-70.  https://doi.org/10.1111/j.1443-1661.2012.01387.x
  18. Abe N, Takeuchi H, Ohki A, Hashimoto Y, Mori T, Sugiyama M. Comparison between endoscopic removal of gastric submucosal tumor. Dig Endosc. 2018;30(Suppl 1):7-16.  https://doi.org/10.1111/den.13010
  19. Zhang H, Huang X, Qu C, Bian C, Xue H. Comparison between laparoscopic and endoscopic resections for gastric submucosal tumors. Saudi J Gastroenterol. 2019;25(4):245-250.  https://doi.org/10.4103/sjg.sjg_412_18
  20. Zhang Q, Wang F, Wei G, Cai JQ, Zhi FC, Bai Y. Endoscopic resection of gastric submucosal tumors: a comparison of endoscopic nontunneling with tunneling resection and a systematic review. Saudi J Gastroenterol. 2017;23(1):52-59.  https://doi.org/10.4103/1319-3767.199116
  21. Huang LY, Cui J, Liu YX, Wu CR, Yi DL. Endoscopic therapy for gastric stromal tumors originating from the muscularis propria. World J Gastroenterol. 2012;18:3465-3471. https://doi.org/10.3748/wjg.v18.i26.3465
  22. Hiki N, Yamamoto Y, Fukunaga T, Yamaguchi T, Nunobe S, Tokunaga M, Miki A, Ohyama S, Seto Y. Laparoscopic and endoscopic cooperative surgery for gastrointestinal stromal tumor dissection. Surg Endosc. 2008;22:1729-1735. https://doi.org/10.1007/s00464-007-9696-8
  23. Cao L, Zheng K, Wang H, Zhao Y, Yang Z, Li W. Laparoscopic and endoscopic cooperative dissection for small gastric gastrointestinal stromal tumor without causing injury to the mucosa. Gastroenterol Res Pract. 2019;2019:7376903. https://doi.org/10.1155/2019/7376903
  24. Nunobe S, Hiki N, Gotoda T, Murao T, Haruma K, Matsumoto H, et al. Successful application of laparoscopic and endoscopic cooperative surgery (LECS) for a lateral-spreading mucosal gastric cancer. Gastric Cancer. 2012;15:338-342.  https://doi.org/10.1007/s10120-012-0146-5
  25. Maehata T, Goto O, Takeuchi H, Kitagawa Y, Yahagi N. Cutting edge of endoscopic full-thickness resection for gastric tumor. World J Gastrointest Endosc. 2015;7:1208-1215. https://doi.org/10.4253/wjge.v7.i16.1208
  26. Hiki N, Nunobe S, Matsuda T, Hirasawa T, Yamamoto Y, Yamaguchi T. Laparoscopic endoscopic cooperative surgery. Dig Endos. 2015;27:197-204.  https://doi.org/10.1111/den.12404
  27. Inoue H, Ikeda H, Hosoya T, Yoshida A, Onimaru M, Suzuki M, et al. Endoscopic mucosal resection, endoscopic submucosal dissection, and beyond: full-layer resection for gastric cancer with nonexposure technique (CLEAN-NET). Surg Oncol Clin N Am. 2012;21:129-140.  https://doi.org/10.1016/j.soc.2011.09.012
  28. Abe N, Takeuchi H, Yanagida O, Masaki T, Mori T, Sugiyama M, Atomi Y. Endoscopic full-thickness resection with laparoscopic assistance as hybrid NOTES for gastric submucosal tumor. Surg Endosc. 2009;23:1908-1913. https://doi.org/10.1007/s00464-008-0317-y
  29. Mitsui T, Goto O, Shimizu N, Hatao F, Wada I, Niimi K, et al. Novel technique for full-thickness resection of gastric malignancy: feasibility of nonexposed endoscopic wall-inversion surgery (news) in porcine models. Surg Laparosc endosc Percutan Tech. 2013;23:217-221.  https://doi.org/10.1097/sle.0b013e31828e3f94
  30. Goto O, Mitsui T, Fujishiro M, Wada I, Shimizu N, Seto Y, et al. New method of endoscopic full-thickness resection: a pilot study of nonexposed endoscopic wall-inversion surgery in an ex vivo porcine model. Gastric Cancer. 2011;14:183-187.  https://doi.org/10.1007/s10120-011-0014-8
  31. Oh HJ, Kim CY. Non-exposure endoscopic-laparoscopic cooperative surgery for stomach tumors. Clin Endosc. 2018;51(2):113-114.  https://doi.org/10.5946/ce.2018.048
  32. Mitsui T, Yamashita H, Aikou S, Niimi K, Fujishiro M, Seto Y. Non-exposed endoscopic wall-inversion surgery for gastrointestinal stromal tumors. Transl Gastroenterol Hepatol. 2018;3:17.  https://doi.org/10.21037/tgh.2018.03.02
  33. Cao L, Zheng K, Wang H, Zhao Y, Yang Z, Li W. Laparoscopic and endoscopic cooperative dissection for small gastric gastrointestinal stromal tumor without causing injury to the mucosa. Gastroenterol Res Pract. 2019;2019:7376903. https://doi.org/10.1155/2019/7376903
  34. Onimaru M, Inoue H, Ikeda H, Abad MRA, Quarta Colosso BM, Shimamura Y, Sumi K, Deguchi Y, Ito H, Yokoyama N. Combination of laparoscopic and endoscopic approaches for neoplasia with non-exposure technique (CLEAN-NET) for gastric submucosal tumors: updated advantages and limitations. Ann Transl Med. 2019;7(20):582.  https://doi.org/10.21037/atm.2019.09.19
  35. Hajer J, Havlůj L, Kocián P, Klimbacher G, Shamiyeh A, Gürlich R, Whitley A. Comparison of Nonexposed Endoscopic Wall-Inversion Surgery with Endoscopic-Navigated Laparoscopic Wedge Resection for Gastric Submucosal Tumours: Results of a Two-Centre Study. Gastroenterol Res Pract. 2019;2019:7573031. https://doi.org/10.1155/2019/7573031
  36. Qiu WQ, Zhuang J, Wang M, Liu H, Shen ZY, Xue HB, Shen L, Ge ZZ, Cao H. Minimally invasive treatment of laparoscopic and endoscopic cooperative surgery for patients with gastric gastrointestinal stromal tumors. J Dig Dis. 2013;14:469-473.  https://doi.org/10.1111/1751-2980.12076
  37. Acker S, Dishop M, Kobak G, Vue P, Somme S. Laparoscopic Assisted Endoscopic Resection of a Gastric Leiomyoma. Eur J Pediatr Surg Rep. 2014;2:003-006.  https://doi.org/10.1055/s-0034-1370773
  38. Irino T, Nunobe S, Hiki N, Yamamoto Y, Hirasawa T, Ohashi M, Fujisaki J, Sano T, Yamaguchi T. Laparoscopic-endoscopic cooperative surgery for duodenal tumors: a unique procedure that helps ensure the safety of endoscopic submucosal dissection. Endoscopy. 2015;47:349-351.  https://doi.org/10.1055/s-0034-1390909
  39. Kang WM, Yu JC, Ma ZQ, Zhao ZR, Meng QB, Ye X. Laparoscopic-endoscopic cooperative surgery for gastric submucosal tumors. World J Gastroenterol. 2013;19:5720-5726. https://doi.org/10.3748/wjg.v19.i34.5720
  40. Privette A, McCahill L, Borrazzo E, Single RM, Zubarik R. Laparoscopic approaches to resection of suspected gastric gastrointestinal stromal tumors based on tumor location. Surg Endosc. 2008;22:487-494.  https://doi.org/10.1007/s00464-007-9493-4
  41. Wilhelm D, von Delius S, Burian M, Schneider A, Frimberger E, Meining A, Feussner H. Simultaneous use of laparoscopy and endoscopy for minimally invasive resection of gastric subepithelial masses — analysis of 93 interventions. World J Surg. 2008;32:1021-1028. https://doi.org/10.1007/s00268-008-9492-1
  42. Shim JH, Lee HH, Yoo HM, Jeon HM, Park CH, Kim JG, Song KY. Intragastric approach for submucosal tumors located near the Z-line: a hybrid laparoscopic and endoscopic technique. J Surg Oncol. 2011;104:312-315.  https://doi.org/10.1002/jso.21934
  43. Hwang SH, Park do J, Kim YH, Lee KH, Lee HS, Kim HH, Lee HJ, Yang HK, Lee KU. Laparoscopic surgery for submucosal tumors located at the esophagoga stric junction and the prepylorus. Surg Endosc. 2009;23:1980-1987. https://doi.org/10.1007/s00464-008-9955-3
  44. Hepworth CC, Menzies D, Motson RW. Minimally invasive surgery for posterior gastric stromal tumors. Surg Endosc. 2000;14:349-353.  https://doi.org/10.1007/s004640020062
  45. Ohashi S. Laparoscopic intraluminal (intragastric) surgery for early gastric cancer. A new concept in laparoscopic surgery. Surg Endosc. 1995;9:169-171.  https://doi.org/10.1007/BF00191960
  46. Dong HY, Wang YL, Jia XY, Li J, Li GD, Li YQ. Modified laparoscopic intragastric surgery and endoscopic full-thickness resection for gastric stromal tumor originating from the muscularis propria. Surg Endosc. 2014;28:1447-1453. https://doi.org/10.1007/s00464-013-3375-8
  47. Lamm SH, Steinemann DC, Linke GR, Eucker D, Simon T, Zerz A, Stoll R. Total inverse transgastric resection with transoral specimen removal. Surg Endosc. 2015;29:3363-3366. https://doi.org/10.1007/s00464-014-4037-1
  48. Dzhantukhanova S, Starkov Yu, Solodinina E, Zamolodchikov R. The smart approach to surgical treatment of submucosal tumors based on preoperative EUS-typing. ALES. 2019 Aug;4.  https://doi.org/10.21037/ales.2019.06.08
  49. Starkov YuG, Solodinina EN, Dzhantukhanova SV, Vyborniy MI, Lukich KV, Zamolodchikov RD, Klassifikatsiya neepitelial’nykh opukholej verkhnikh otdelov zheludochno-kishechnogo trakta dlya vybora sposoba operativnogo vmeshatel’stva. Povolzhskij onkologicheskij vestnik. 2017;5(32). (In Russ.).
  50. Pross M, Wolff S, Nestler G, Schubert D, Kahl S, Lippert H. A technique for endo-organ resection of gastric wall tumors using one intragastric trocar. Endoscopy. 2003;35:613-615.  https://doi.org/10.1055/s-2003-40239
  51. Sahm M, Pross M, Lippert H. Intraluminal resection of gastric tumors using intragastric trocar technique. Surg Laparosc Endosc Percutan Tech. 2011;21:169-172.  https://doi.org/10.1097/SLE.0b013e318221749c
  52. Starkov YuG, Shishin KV. Intraoperatsionnoe ul’trazvukovoe issledovanie v endoskopicheskoj khirurgii. M.: Russkij put’; 2006.
  53. Na JU, Lee SI, Noh SM. The single incision laparoscopic intragastric wedge resection of gastric submucosal tumor. J Gastric Cancer. 2011;11:225-229.  https://doi.org/10.5230/jgc.2011.11.4.225
  54. De Vogelaere K, Van De Winkel N, Simoens C, Delvaux G. Intragastric SILS for GIST, a new challenge in oncologic surgery: first experiences. Anticancer Res. 2013;33:3359-3363.
  55. Obuchi T, Sasaki A, Baba S, Nitta H, Otsuka K, Wakabayashi G. Single-port laparoscopic and endoscopic cooperative surgery for a gastric gastrointestinal stromal tumor: report of a case. Surg Today. 2015;45:641-646.  https://doi.org/10.1007/s00595-014-0870-z
  56. Kawahira H, Hayashi H, Natsume T, Akai T, Uesato M, Horibe D, Mori M, Hanari N, Aoyama H, Nabeya Y, Shuto K, Matsubara H. Surgical advantages of gastric SMTs by laparoscopy and endoscopy cooperative surgery. Hepatogastroenterology. 2012;59:415-417.  https://doi.org/10.5754/hge11456
  57. Tsujimoto H, Yaguchi Y, Kumano I, Takahata R, Ono S, Hase K. Successful gastric submucosal tumor resection using laparoscopic and endoscopic cooperative surgery. World J Surg. 2012;36: 327-330.  https://doi.org/10.1007/s00268-011-1387-x
  58. Mori H, Kobara H, Fujihara S, Nishiyama N, Ayagi M, Matsunaga T, Yachida T, Masaki T. Establishment of the hybrid endoscopic full-thickness resection of gastric gastrointestinal stromal tumors. Mol Clin Oncol. 2015;3:18-22.  https://doi.org/10.3892/mco.2014.412
  59. Abe N, Mori T, Takeuchi H, Ueki H, Yanagida O, Masaki T, Sugiyama M, Atomi Y. Successful treatment of early stage gastric cancer by laparoscopy-assisted endoscopic full-thickness resection with lymphadenectomy. Gastrointest Endosc. 2008;68: 1220-1224. https://doi.org/10.1016/j.gie.2008.02.077
  60. Cho WY, Kim YJ, Cho JY, Bok GH, Jin SY, Lee TH, Kim HG, Kim JO, Lee JS. Hybrid natural orifice transluminal endoscopic surgery: endoscopic full-thickness resection of early gastric cancer and laparoscopic regional lymph node dissection — 14 human cases. Endoscopy. 2011;43:134-139.  https://doi.org/10.1055/s-0030-1255955
  61. Hur H, Lim SG, Byun C, Kang JK, Shin SJ, Lee KM, Kim JH, Cho YK, Han SU. Laparoscopy-assisted endoscopic full-thickness resection with basin lymphadenectomy based on sentinel lymph nodes for early gastric cancer. J Am Coll Surg. 2014;219:e29-e37.  https://doi.org/10.1016/j.jamcollsurg.2014.05.016

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.